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HomeMy WebLinkAbout2412 ALTISMA WAY; D; CB060442; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-21-2006 Plumbing Permit Permit No: CB060442 Building Inspection Request Line (760) 602-2725 Job Address: ' 2412 ALTISMA WY CBAD St: D Permit Type: PLUM Status: ISSUED Parcel No: 2152401732 Lot#: 0 Applied: 02/21/2006 Construction Type: NEW Entered By: KG Reference #: Plan Approved: 02/21/2006 Issued: 02/21/2006 Project Title: SALVO RES REPLACE WATER Inspect Area: HEATER Applicant: Owner: JUST WATER HEATERS INC. SALVO GEORGIE L 3400 INVESTMENT BLVD 2412 ALTISMA WAY #G HAYWARD CA 94545 CARLSBAD CA 92009 800-909-9483 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 FINALAPPROVAL Inspector: ^ ^ ^ ^ Date: 7~-f5-0(p Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad 3A 92008 1, Address (include Bldg/Suite #) FOR OFFICE USE PLAN CHECK N EST. VAL. NLY Plan Ck. Deposit Validated By Date__ Business Name (at this address) Legal Description Lc t No. Subdivision Name/Number Unit No.Phase No.Total # of uniis Existing Use Proposed Use SQ.FT.# of Stories # of Bedrooms # of Bathrooms Name 3, APPLICANT >;O/£ocMiBtML "ftf^ UY^fV UraVNre Name Address 4, PROPERTY OWNER - Name 5, CONTRACTOR -COUP /r'^clfe- Address jiV MiUH&i '• A K: ; •< • * r!->f&tl'^''%ft@^?^^t^ City State/Zip „«.*.£ -. , • , . : Telephone # {Sec. 7031.5 Business and Professions Code: . ^ny City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file i signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9. commending with Section 7000 of Division 3 of the Business and hofessions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant I > a civil penalty of not more than five hundred dollars [$500]} Name State License # Address License Class _ '_ P\\ A^CL City State/Zip City Business License # Telephone tt Designer Name State License # i Idress City State/Zip Telephone tt Workers' Compensation Declaration: ! hereby afirm under penalty of perjury one of th« following declarations: D I have and will maintain a certificate of cor sent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. %f I have and will maintain worker's compe isation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and poll :y number are: Insurance Company _^^Q^L^ Policy No.ylOol!>i3W-TZP "*Q^? Expiration Date PH "P\ '.y*xJ_ (THIS SECTION NEED NOT BE COMPLETED I = THE PERMIT IS FOR ONE HUNDRED DOLLARS [5100] OR LESS) n CERTIFICATE OF EXEMPTION: I cert fy that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation L iws of California. WARNING: Failure to secure workers' compem .ition coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand d ol I ars($ 100,000), In addition to the cost of comp insatiorvdamagfls are provided for in Section 3706 of the Labor Code, interest and attorney's fees. -SIGNATURE y^^/VVll^X'M^QlA. ^-iff^y- * DATE 3J \ O I hereby affirm that I am exempt from the Contrac tor's License Law for the following reason: Q I. as owner of the property or my emptoi ees with wages as their sole compensation, will d the work and the structure is not intended or offered for sate (Sec. 7044, Business and Professions Code: The Conlracto 's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burde i of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusive!) contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1. i personally plan to provide the major labor and materials for construction of the proposed property improvement. O YES D NO 2. I (have/have not) signed an application for i.. building permit for the proposed work. 3. I have contracted with the following person ;Hrm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. t plan to provide portions of the work, but I rave hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / /ontractors license number): 5. I will provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (include name / address / phone number/type of work): PROPERTY OWNER SIGNATURE DATE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad DA 92008 Page 2 of 2 Is the applicant or future building occupant requi ad to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections25505,25533or2$534ofthePresley-TimnerHazardousSubstanceAccount Act? O YES D NO Is the applicant or tuture building occupant requiri !<J to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet o the outer boundary of a school site? D YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERG =NCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME. LENDER'S ADDRESS. 9.I certify that I have read the application and st; te that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building coi iistruction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRU £ AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavat :ns of 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the buiWir g Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 day > from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work Is commenced for a perWfJ of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE. City of Carlsbad Bldg Inspection Request For: 04/12/2006 Permit* CB060442 Title: SALVO RES REPLACE WATER Description: HEATER Inspector Assignment: Type: PLUM Sub Type: Job Address: 2412 ALTISMAWY Suite: D Lot 0 Location: APPLICANT JUST WATER HEATERS INC. Owner: Remarks: Phone: 7606030778 Inspecto/ Total Time: CD Description 25 Water Heater/Vents Comment Requested By: NA Entered By: CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments LiOise Detail Page 1 of 2 California Home Wednesday, Febru License Detail Contractor License # 591329 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per JB&PL7Q7L 17, only construction related civil judgments reported to the CSLB are disclosed. • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. * * * Extract Date: 02/22/2006 Business Information * * * JUST WATER HEATERS INC 3400 INVESTMENT BLVD HAYWARD, CA 94545 Business Phone Number. (510) 293-2015 Entity: Corporation Issue Date: 03/28/1990 Expire Date: 03/31/2008 * * * License Status * * * This license is current and active. AH information below should be reviewed. * * * Additional Status Information * * * Click here for Complaint Disclosure information. Classifications * * * Description C36 PyjMBjNG B"~[GENERAL BUILDING CONTRACTOR http://www2.cslb.ca.gov/CSLB J-IBRARY/License+Detail.asp 02/22/2006 License Detail Page 2 of 2 * * *Bonding Information * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 0370319 in the arr $10,000 with the bonding company INTERNATIONAL FIDELITY INSURANCE COMPANY. Effective Date: 07/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) JOHr> GILROY certified that he/she owns 10 percent or more of the voting stock/equity of the cor| A bond of qualifying individual is not required. Effective Date: 03/28/1990 BOND OF QUALIFYING INDIVIDUAL^): This license filed Bond of Qualifying Individual i 0383343 for MICHAEL ALBERT SKELLY in the amount of $7,500 with the bonding corr INTERNATIONAL FIDELITY INSURANCE COMPANY. Effective Date: 08/06/2004 BQI's Bonding History Workers Compensation Information * * ** * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1626288 Effective Date: 04/01/2001 Expire Date: 04/01/2006 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licei Personnel List Other Licenses Complaint Disclosure • License Number Request B Contractor Name Request [personnel Name Request •Salesperson Request B Salesperson Name Request~— 1 •••-;—-— ~ © 2006 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB JJBRARY/License+Detail.asp 02/22/2006